EBCOG Part 1 Free Library High Yield Questions Day 2

For each of the following clinical scenario, choose the single diagnosis most appropriate treatment. Each option may be used once, more than once or not at all.
A. Cerebral vascular thrombosis
B. Cluster headache
C. Conjunctivitis
D. Epilepsy
E. Impending eclampsia
G. Malaria
H. Meningitis
I. Migraine
J. Severe pre-eclampsia
K. Sinusitis
M. Viral gastritis
1. A 27-yr old primigravid woman at 24 weeks of pregnancy is complaining of throbbing pain behind her left eye. This pain is so severe that she cannot sit still.
2. An 18-yr old primigravid woman at 36 weeks of pregnancy is complaining of sudden onset of headaches, abdominal pain and a sensation of flashing lights in front of eyes.
3. A 24-yr old multiparous woman at 30 weeks of pregnancy had returned from her holidays in Brazil. She is vomiting, feeling feverish, and complaining of severe headaches.
4.A 35-yr old parous woman at 20 weeks of pregnancy complaints f severe headaches and feeling tired, feverish and stiff around the neck.
5. A recently delivered multiparous woman with BMI of 45 complains on day 3 post-partum of sudden onset of severe headache, describing it as ‘the worst headache I ever had’
You have been called to see a collapsed patient. For each of the following clinical scenarios, choose the single most appropriate cause of collapse. Each option may be used once, more than once or not at all.
A. Diabetes ketoacidosis
B. Hyperkalemia
C. Hypervolemia
D. Hypoxia
G. Sepsis
H. Tamponade
I. Tension pneumothorax
J. Thromboembolism
K. Toxicity
L. Concealed abruption
M. Vasovagal faint
6. You are asked to urgently see an unbooked pregnancy. She collapsed in A&E with constant severe abdominal pain. She has no vaginal bleeding. On examination she has a gravid uterus, approximately 34cm, and you are unable to discern presentation due to a tense ‘woody’ abdomen. She smells heavily of cigarette smoke.
7. Your SHO calls you to A&E to see a woman day 6 following a normal vaginal delivery referred in by the GP. The referral letter tells you she had an induction at 38 weeks for severe PE, with no significant blood loss. She has had central chest pain for the last 12 hours.
8. You respond to the emergency buzzer call-out for room 6, a woman whom you delivered by ventouse 4 hours ago. She had a syntocinon infusion. The midwife tells you that she stood up to go to the shower and fainted.
9. A woman attends triage 4 days after normal vaginal delivery of her 4th child. She had a first-degree tear, which was not sutured. She gives a history of collapsing at home. She feels hot to touch and looks pale. Her pulse rate is 120 bpm, with BP of 80/40. Her temperature is 37.4 ‘C.
10. The ambulance brings in a 20-yr old unbooked woman who appears to be 27 weeks pregnant, following a collapse on the street. She is unkempt and smells of cigarette smoke. Examination is normal, with a soft, non-tender uterus. She is demanding pain relief but decline paracetamol. Her affect is somewhat confused and she hugs an agency midwife who
recognizes her from previous attendance at a different hospital.